00 CS FOR HOUSE BILL NO. 73(FIN) 01 "An Act relating to complex care residential homes; and providing for an effective 02 date." 03 BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF ALASKA: 04  * Section 1. AS 47.32.010(b) is amended to read: 05 (b) The following entities are subject to this chapter and regulations adopted 06 under this chapter by the Department of Health: 07 (1) ambulatory surgical centers; 08 (2) assisted living homes; 09 (3) child care facilities; 10 (4) freestanding birth centers; 11 (5) home health agencies; 12 (6) hospices, or agencies providing hospice services or operating 13 hospice programs; 14 (7) hospitals; 01 (8) host care homes; 02 (9) intermediate care facilities for individuals with an intellectual 03 disability or related condition; 04 (10) maternity homes; 05 (11) nursing facilities; 06 (12) residential child care facilities; 07 (13) residential psychiatric treatment centers; 08 (14) rural health clinics; 09 (15) subacute mental health facilities;  10 (16) complex care residential homes. 11  * Sec. 2. AS 47.32.900(2) is amended to read: 12 (2) "assisted living home" 13 (A) means a residential facility that serves three or more adults 14 who are not related to the owner by blood or marriage, or that receives state or 15 federal payment for services regardless of the number of adults served; the 16 Department of Health shall consider a facility to be an assisted living home if 17 the facility 18 (i) provides housing and food services to its residents; 19 (ii) offers to provide or obtain for its residents 20 assistance with activities of daily living; 21 (iii) offers personal assistance as defined in 22 AS 47.33.990; or 23 (iv) provides or offers any combination of these 24 services; 25 (B) does not include 26 (i) a correctional facility; 27 (ii) an emergency shelter; 28 (iii) a program licensed under AS 47.10.310 for 29 runaway minors; 30 (iv) a type of entity listed in AS 47.32.010(b)(6) - (11) 31 and (16) or (c)(2); 01  * Sec. 3. AS 47.32.900(11) is amended to read: 02 (11) "hospital" means a public or private institution or establishment 03 devoted primarily to providing diagnosis, treatment, or care over a continuous period 04 of 24 hours each day for two or more unrelated individuals suffering from illness, 05 physical or mental disease, injury or deformity, or any other condition for which 06 medical or surgical services would be appropriate; "hospital" does not include a 07 frontier extended stay clinic or a complex care residential home; 08  * Sec. 4. AS 47.32.900 is amended by adding a new paragraph to read: 09 (22) "complex care residential home" means a residential setting that 10 provides 24-hour multi-disciplinary care on a continuing basis to individuals with 11 mental, behavioral, medical, or disability-related needs that require specialized care, 12 services, and monitoring. 13  * Sec. 5. The uncodified law of the State of Alaska is amended by adding a new section to 14 read: 15 MEDICAID STATE PLAN; WAIVERS. The Department of Health shall, as 16 necessary for federal approval by the United States Department of Health and Human 17 Services, submit amendments to the state plan for medical assistance coverage or apply for 18 any waivers necessary to implement secs. 1 - 4 of this Act.  19  * Sec. 6. This Act takes effect July 1, 2026.